Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1736 1745 In Sun Kim Department of Nursing, Hanyeong University, Yeosu-si, Republic of Korea Hee Jeong Yoon College of Liberal Arts, Chungwoon University, Hongseong-gun, Republic of Korea Yeon Ran Hong Department of Nursing, Sunchon National University, Suncheon-si, Republic of Korea 2024 06 14 2024 08 06 Background: This descriptive survey study aimed to investigate the effects of emotional labor, work–life balance, and empowerment on nurses’ professional quality of life (ProQOL) and provide foundational data for improving the ProQOL of Korean nurses. Methods: Nurses who had been working for at least six months in hospitals in Yeosu, Suncheon, and Gwangyang, the Republic of Korea, were surveyed in April 2022. Using a structured questionnaire, data were collected on general characteristics, emotional labor, work–life balance, empowerment, and ProQOL. The collected data were analyzed using frequency analysis, independent t-tests, analyses of variance, post-hoc tests, Pearson’s correlation analysis, and multiple regression analysis. Results: ProQOL was negatively correlated with emotional labor (r=-0.550, P<0.001) and positively correlated with work–life balance (r=0.680, P<0.001) and empowerment (r=0.454, P<0.001). Emotional labor (β=-0.27, P<0.001), work–life balance (β=0.44, P<0.001), and empowerment (β=0.28, P<0.001) were identified as the predictors of ProQOL, such that reduced emotional labor and increased work–life balance and empowerment enhanced ProQOL. These factors explained 62.1% of the variance in the ProQOL of Korean nurses (F=42.86, P<0.001). Conclusion: To enhance the ProQOL of Korean nurses, it is vital to help them adjust their work–life balance, decrease their emotional labor, and increase their empowerment. https://ijph.tums.ac.ir/index.php/ijph/article/view/35816 https://ijph.tums.ac.ir/index.php/ijph/article/download/35816/8308

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1695 1708 Mingtao Ding Department of Health Management Centre, Jinan Central Hospital, No. 105, Jiefang Road, Jinan, 250013, China Lei Liu Department of Internal Medicine, Jinan Central Hospital, No. 105, Jiefang Road, Jinan, 250013, China 2023 09 25 2024 01 08 Background: Low protein diet plays an important role in cardiovascular diseases. However, exact role is unclear so far. We aimed to find out the effect of low protein diet on patients with cardiovascular disease. Methods: The PRISMA guidelines were followed throughout the research project until 10th Apr 2023. MeSH phrases and Boolean operators were used to search PubMed for suitable studies. The entire estimate was expressed as a 95% confidence interval around the mean difference. The model was picked because of the discrepancies found in the research. Choi's Q test and I2 statistics were used to determine the degree of variation between experiments. The funnel plot was used to qualitatively examine the publishing bias. Results: Low-protein diets have a greater impact on waist circumference [-8.82 (-9.51, -8.13), P<0000.1] and high-density lipoprotein (HDL) [-0.05 (-0.07, -0.03), P<0000.1] alteration than non-LPD diets, as measured by the standard mean difference (SMD). Further, significant changes were observed in weight loss [1.51 (1.25, 1.77), P<0.00001], BMI, [0.46 (0.25, 0.67), P<0.0001], change systolic [2.48 (1.20, 3.77), P=0.0002] and diastolic blood pressure [1.49 (0.72, 2.26), P=0.0002], low density lipoprotein [0.09 (0.06, 0.12), P<0.00001], triglyceride [0.52 (0.49, 0.55), P<0.00001], in non-LPD group as compared to LPD group. Conclusion: The results indicated the role of low protein diet on patients with cardiovascular disease. https://ijph.tums.ac.ir/index.php/ijph/article/view/33291 https://ijph.tums.ac.ir/index.php/ijph/article/download/33291/8305

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1903 1904 Eunha Jin Gwangju Veterans Hospital, Gwangsan-gu, Gwangju, South Korea Aeri Jang Department of Nursing, Mokpo, National University, Muan-gun, Jeollanam-do, South Korea 2024 01 18 2024 08 06 No Abstract. No Abstract. No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/33559 https://ijph.tums.ac.ir/index.php/ijph/article/download/33559/8329

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1898 1902 Ainura Manasovna Satarkulova Department of Fundamental Disciplines, International Higher School of Medicine, Bishkek, Kyrgyz Republic Kanykei Sadyrbekovna Keneshova Department of Fundamental Disciplines, International Higher School of Medicine, Bishkek, Kyrgyz Republic Shadiya Yusupdjanovna Aisaeva Integrated Research Center, International Higher School of Medicine, Bishkek, Kyrgyz Republic Asel Abdumomunovna Usenova Department of Special Surgical Disciplines, International Higher School of Medicine, Bishkek, Kyrgyz Republic Shirin Syrgakovna Bakirova Department of Fundamental Disciplines, International Higher School of Medicine, Bishkek, Kyrgyz Republic 2024 08 06 2024 08 06 Background: We aimed to evaluate the functional state of the population of the midlands and highlands of Alai region (Kyrgyzstan) on the basis of body mass index (BMI) and adaptation potential (AP). The characteris- tic of people with overweight and underweight are presented. A clean dependence of AP on BMI was revealed. Methods: In Alai region (Kyrgyzstan), 285 citizens of Gulcha village (1.540 m above sea level) and 312 citizens of Sary-Tash village (3.200 m above sea level) were examined in July-August 2023. Blood pressure (BP) was generally measured at rest in the seated position. The BMI and AP were calculated. Results: In the midlands and highlands BP correspond to the physiological norm. The AP scores in the mid- lands region for men was 2.32 points, for women - 2.38 points, but in highlands areas these values were slightly higher: for men – 2.52 points, for women – 2.42 points. The total BMI values for men in the midlands and highlands were 23.39 and 23.24 kg/m2 respectively, for women in the midlands this indicator became higher than normal (26.53 kg/m2), but in the highlands it corresponded to the norm (24.78 kg/m2). Conclusion: It is necessary to determine the value of AP, BMI and type of self-regulation of blood circulation when assessing the functional state of residents living in mountain areas. In the highlands overweight, which is one of the significant risk factors for health disorders, with tension of regulatory mechanisms can become a trigger for the development of cardiovascular diseases. https://ijph.tums.ac.ir/index.php/ijph/article/view/36294 https://ijph.tums.ac.ir/index.php/ijph/article/download/36294/8328

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1746 1753 Zeynep Ayaydın Department of Medical Microbiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Health Sciences Universi-ty, Diyarbakır, Turkey Ayşe Batgi Azarkan Department of Medical Microbiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Health Sciences Universi-ty, Diyarbakır, Turkey Özge Alkan Bilik Department of Medical Microbiology, Selahaddin Eyyubi State Hospital, Diyarbakır, Turkey Ali Cem Tekin Department of Medical Microbiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Health Sciences Universi-ty, Diyarbakır, Turkey 2023 06 06 2023 12 10 - https://ijph.tums.ac.ir/index.php/ijph/article/view/32215 https://ijph.tums.ac.ir/index.php/ijph/article/download/32215/8309

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1709 1721 Mohammad Alam 1. Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia 2. Department of Dental Research Cell, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Chennai, India 3. Department of Public Health, Faculty of Allied Health Sciences, Daffodil International University, Dhaka, Bangladesh Haifa Almutairi College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia Rowida Barayan Ministry of Health, Badanah Primary Healthcare, Badanah, Kingdom of Saudi Arabia Huda Abutayyem Department of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, Ajman, United Arab Emirates Haytham Alswairki School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia Ahmed Alfawzan Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Kingdom of Saudi Arabia Mohammad Hajeer Department of Orthodontics, University of Damascus Faculty of Dentistry, Damascus, Syria Ahmed Albalawi College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia Khalid Hussain Ali Alruwaili Alruwaili College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia Rakhi Issrani 1. Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia 2. Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India Namdeo Prabhu Department of Oral & Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka, Kingdom of Saudi Arabia 2023 05 08 2023 12 19 Background: We aimed to review studies that evaluated the effect of cigarette smoking on orthodontic treatment methods and determine whether the smoke affected appliances in a way that could impair the effectiveness of the overall treatment strategy. Methods: PubMed, Google Scholar, Cochrane Library, and Web of Science were scoured using pertinent keywords, reference searches, and citation searches in accordance with the PRISMA protocol regarding articles published from 2008 till 2022. Results: Ultimately, 7 papers were chosen for further analysis at the end of the selection protocol. Overall pooled odds ratio (OR) for the impact of cigarette smoking on orthodontic treatment was 0.25 (95% CI: 0.15, 0.43), with high statistical significance (P<0.00001) but also high heterogeneity (I² = 81%). The relative risk (RR) was 0.50 (95% CI: 0.38, 0.66), indicating a 50% greater risk of noticeable impact, with high statistical significance (P<0.00001) and high heterogeneity (I² = 79%), and the risk difference (RD), which was -0.33 (95% CI: -0.45, -0.21), suggesting a 33% higher risk of noticeable impact, with high statistical significance (P<0.00001) and high heterogeneity (I² = 81%). The high heterogeneity in all measures indicates significant variability in the results across the included studies. Conclusion: All the 7 studies selected for our systematic review exhibited significant detrimental associations between smoking and orthodontic appliances and other modalities that were exposed to cigarette smoke. However, more studies need to be done in this regard, since the literature currently available on this relationship is quite poor and lacking in concrete evidence. https://ijph.tums.ac.ir/index.php/ijph/article/view/31954 https://ijph.tums.ac.ir/index.php/ijph/article/download/31954/8306

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1905 1906 Zohreh Rahaei Department of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Saeide Rastjoo Department of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 2023 09 08 2023 12 10 No Abstract. No Abstract. No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/33174 https://ijph.tums.ac.ir/index.php/ijph/article/download/33174/8330

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1754 1768 Zhengming Huang Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Zhejiang University, Zhejiang, China Long Yu Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Zhejiang University, Zhejiang, China Weisong Chen Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Zhejiang University, Zhejiang, China Dan Zhu Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Zhejiang University, Zhejiang, China Hui Chen Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Zhejiang University, Zhejiang, China 2023 10 04 atotypes of the healthy individuals and the OSAS patients, statistically significant differences were found in the FACIT scores of the mesomorph endomorphs, the IPAQ and FACIT scores of the endomorphic mesomorphs, and the TSK and FACIT scores of the mesomorphic endomorphs (P<0.05). Conclusion: In all three somatotypes of the OSAS patients, the fatigue index scores were higher when compared to those of the healthy individuals. Moreover, when compared with the healthy individuals, the physical activity levels of the endomorphic mesomorphs with OSAS were low, while the kinesiophobia scores of the mesomorphic endomorphs with OSAS were high. Based on the results of this study, in OSAS patients, the endomorphic mesomorph somatotype could be a risk factor for reduced physical activity, while the mesomorphic endomorph somatotype could be a risk factor for increased kinesiophobia. https://ijph.tums.ac.ir/index.php/ijph/article/view/16049 https://ijph.tums.ac.ir/index.php/ijph/article/download/16049/7219

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 879 887 Mohammadreza Firouzkouhi Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran Mayumi Kako School of Medicine Graduate, School of Medical, Hiroshima, Japan Abdolghani Abdollahimohammad Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran Abbas Balouchi Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran Jebraeil Farzi Department of Health Information Technology, School of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran 2020 10 28 2021 01 13 Background: Nurses have a continuous presence and crucial role in response to disasters. During disasters, nurses apply specific knowledge and skills to minimize victims’ health and life-threatening risks. Nurses’ roles in crisis are not clearly stated in resources. Thus, this study aimed to explore nurses’ role in the nursing disaster model. Methods: A scoping review was conducted using Joanna Briggs Institute framework. The review considered primary research and reviewed literature from following databases, including Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Scopus, and Google Scholar, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined as a priori to guide the literature selection. Results: Eight of 60 eligible articles met the inclusion criteria. The studies were conducted in different countries with no limit of time of published articles. The publications’ design were three systematic reviews, one meta-synthesis, two qualitative types of research, one quasi-experimental, and one case study. The results showed nurses’ roles in the three stages before, during, and after the crisis. Conclusion: This review provided a comprehensive understanding of the concept of the nursing role in the crisis, and nurses could be useful to save victims through preparing and implementing effective care at different stages of a crisis. https://ijph.tums.ac.ir/index.php/ijph/article/view/22674 https://ijph.tums.ac.ir/index.php/ijph/article/download/22674/7215

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 1070 1071 Aamir Hussain Department of Health, Government of Sindh, Karachi, Pakistan 2019 01 22 2019 02 02 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/16006 https://ijph.tums.ac.ir/index.php/ijph/article/download/16006/7237

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 927 937 Zhiyong Cao Department of Neurology, The Second Affiliated Hospital of Nantong University, Nantong 226001, P.R.China Han Wang Department of Neurology, The Second Affiliated Hospital of Nantong University, Nantong 226001, P.R.China Xiangyang Zhu Department of Neurology, The Second Affiliated Hospital of Nantong University, Nantong 226001, P.R.China 2020 10 27 2020 11 26 Background: Serum miR-497 can be used as a predictive index of the early diagnosis and poor prognosis of atherosclerosis cerebral infarction (ATCI). Methods: Overall, 135 ATCI patients, treated in The Second Affiliated Hospital of Nantong University, Nantong 226001, P.R.China from Apr 2012 to Jan 2015, were included in ATCI group. Whereas, 77 patients with non-atherosclerosis cerebral infarction were put in the control group. RT-qPCR was performed for detecting serum miR-497 expression, whose relationship with the patients’ clinicopathological parameters was analyzed. Receiver operating characteristic (ROC) curves were plotted to evaluate values of serum miR-497 for diagnosing ATCI patients and their 3-year and 5-year overall survival rates (OSRs). Cox regression analysis was conducted on prognostic factors of ATCI patients. Results: miR-497 remarkably rose in the serum of ATCI patients, and was correlated with histories of hypertension, smoking and diabetes mellitus (DM). Its areas under curves (AUCs) for diagnosing these pathological parameters were 0.803, 0.817 and 0.819, respectively. Its expression was higher in the serum of the patients with recurrence and poor prognoses. Its AUCs for predicting the two conditions were 0.924 and 0.937, respectively. The 3- and 5-year OSRs of patients with low expression were remarkably higher than those of patients with high expression. Conclusion: miR-497 and histories of hypertension, smoking and DM were independent prognostic factors affecting the 3-year OSR of ATCI patients. miR-497 expression rises in ATCI patients, so this miR is expected to become a serum diagnostic marker for ATCI. https://ijph.tums.ac.ir/index.php/ijph/article/view/22661 https://ijph.tums.ac.ir/index.php/ijph/article/download/22661/7220

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 888 899 Fatemeh Abbasalizadeh Department of Obstetrics and Gynecology, Al-Zahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Sajjad Pourasghary Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran Maryam Shirizadeh Department of Obstetrics and Gynecology, Al-Zahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Sanaz Mousavi Department of Obstetrics and Gynecology, Al-Zahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Morteza Ghojazadeh Research Center for Evidence Based Medicine, Tabriz, Iran Hossein Hoseinifard Research Center for Evidence Based Medicine, Tabriz, Iran Fatemeh Salehnia Research Center for Evidence Based Medicine, Tabriz, Iran Leila Nikniaz Research Center for Evidence Based Medicine, Tabriz, Iran 2020 08 04 2021 01 11 Background: Group B streptococcus or streptococcus Agalactia is a gram positive beta hemolytic bacteria which is the main factor in neonatal infections. This study aimed at determining the prevalence of GBS in world and clarifying the rate of this infection in Islamic and non-Islamic countries. Methods: We performed a systematic search by using different databases including Medline, Scopus, Science Direct, Psycho-Info ProQuest and Web of Science published up to Feb 2019. We undertook meta-analysis to obtain the pooled estimate of prevalence of GBS colonization in Islamic and non-Islamic countries. Results: Among 3324 papers searched, we identified 245 full texts of prevalence of GBS in pregnancy; 131 were included in final analysis. The estimated mean prevalence of maternal GBS colonization was 15.5% (CI:95% (14.2-17)) worldwide; which was 14% (CI:95% (11-16.8)) in Islamic and 16.3% (CI:95% (14.6-18.1)) in non-Islamic countries and was statistically significant. Moreover, with regards to sampling area, prevalence of GBS colonization was 11.1 in vagina and 18.1 in vagina-rectum. Conclusion: Frequent washing of perineum based on religious instructions in Islamic countries can diminish the rate of GBS colonization in pregnant women. https://ijph.tums.ac.ir/index.php/ijph/article/view/21698 https://ijph.tums.ac.ir/index.php/ijph/article/download/21698/7216

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 1072 1073 EN Zoleykha Asgarlou Department of Midwifery, School of Nursing and Midwifery, Khoy University of Medical Sciences, Khoy, Iran Mohammad Arzanlou Department of Psychiatry, Deputy of Medicine, Khoy University of Medical Sciences, Khoy, Iran Mohammad Mohseni Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran 2019 02 09 2019 03 17 - https://ijph.tums.ac.ir/index.php/ijph/article/view/16198 https://ijph.tums.ac.ir/index.php/ijph/article/download/16198/7238

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 938 948 Dae-Jung Lee Department of Physical Education, Jeonbuk National University, Jeollabuk-do, Korea 2021 02 13 2021 04 30 Background: Efforts have often been made to improve physical education (PE) classes in response to rapidly changing societies. We applied science, technology, engineering, arts, and mathematics (STEAM) education to PE classes. The purpose was to examine the effect of STEAM-based PE lessons on self-directed learning abilities, a core competency of the 21st century, and on attitudes toward PE classes related to PE alienation and avoidance. Methods: To achieve this purpose, six out of eight classes at a middle school in Jeollabuk-do province, Republic of Korea were selected in 2019. The experimental and control groups, consisting of 87 and 88 students, respectively, were chosen from among 238 first-grade students by utilizing convenience sampling. The experimental group attended PE classes based on STEAM for 14 weeks, whereas the control group attended traditionally teacher-centered PE classes. We used a multivariate analysis of variance (MANOVA). Statistical significance was set at P<0.05. Results: The experimental group displayed significant differences in all the sub-factors of attitudes toward PE classes and all the sub-factors of self-directed learning abilities, compared to the control group (P<0.05). PE classes based on STEAM appear to have a positive effect on students' attitudes toward PE classes and their self-directed learning abilities. Conclusion: PE is struggling to solve students' alienation and avoidance problems, despite numerous efforts. Thus, discussions have been conducted on how the STEAM philosophy can be implemented in the field of PE. Results suggest that efforts to combine STEAM education and PE are needed. https://ijph.tums.ac.ir/index.php/ijph/article/view/23865 https://ijph.tums.ac.ir/index.php/ijph/article/download/23865/7221

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 1074 1076 Hossein Mahmoudvand Department of Laboratory Sciences, School of Allied Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran Maryam Sepahvand Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran Bahram Nasiri Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran Mehrdad Khatami Bam University of Medical Sciences, Bam, Iran Ebrahim Badparva Department of Medical Parasitology and Mycology, Lorestan University of Medical Sciences, Khorramabad, Iran 2019 02 15 2019 03 17 . https://ijph.tums.ac.ir/index.php/ijph/article/view/16249 https://ijph.tums.ac.ir/index.php/ijph/article/download/16249/7239

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 949 958 EN Lifang Tang School of Media and Design, Hangzhou Dianzi University, Hangzhou, China Jie Wang School of Media and Design, Hangzhou Dianzi University, Hangzhou, China 2021 03 31 2021 04 30 Background: Mass communication is one of the most important ways in health communication. The emergence of new media has changed the way people acquire health information and then their health behaviors. However, few studies have been conducted about complicated relations between media use and health behaviors under new media conditions and further systematic explanation is needed. Methods: A hypothesis model for the influence of WeChat use on health behaviors was constructed to explore the internal influencing mechanism of new media use on health behaviors. An empirical analysis on the internal influencing mechanism of WeChat use on health behaviors was carried out with a survey data consist of 463 young active users on famous online social network sites in China from March to June 2019. Results: New media use represented by WeChat has significant positive influence on health behaviors. Individuals who frequently use new media related to health have better health conditions than those who rarely use them. The improvement of health behaviors is mainly attributed to acquisition of health knowledge. Such effect is also mediated by the degree of individuals’ trust in health knowledge. Conclusion: This study not only discloses the influencing mechanism of new media use and health knowledge on health behaviors, but also confirms the value of new media in promoting public health communication and public health behaviors. Conclusions provide significant references in decision-making to develop effective guidance of public health. https://ijph.tums.ac.ir/index.php/ijph/article/view/24367 https://ijph.tums.ac.ir/index.php/ijph/article/download/24367/7222

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 1077 1078 EN Mahdi Shahriari Hematology Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran Saeid Dehghankhalili Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran Alireza Heiran Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Babak Daneshfard Traditional Medicine Clinical Trial Research Center, Shahed University, Tehran, Iran 2019 02 21 2019 03 17 . https://ijph.tums.ac.ir/index.php/ijph/article/view/16318 https://ijph.tums.ac.ir/index.php/ijph/article/download/16318/7240

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 959 969 Guangxin Zong Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China Xinrong Feng Department of Otorhinolaryngology, Jinan Zhangqiu District Hospital of TCM, Jinan 250200, China Xiuhua Sun Property Management Section, the People’s Hospital of Zhangqiu Area, Jinan 250200, China Jiexin Du Department of Neurology, the People’s Hospital of Zhangqiu Area, Jinan 250200, China Guangsheng Wang Department of Neurology, the People’s Hospital of Zhangqiu Area, Jinan 250200, China Tingting Song No 2 Department of Oncology, Qingdao Tumor Hospital, Qingdao 266042, China 2020 10 26 2020 11 26 Background: Laryngocarcinoma is the most frequent head and neck malignant tumor. MALAT1 have a role in promoting cell proliferation and metastasis in several tumors. This research aimed to investigate the great roles of MALAT1in laryngocarcinoma. Methods: Overall, 54 cases of laryngocarcinoma tissues pathological specimens and paracancerous tissues were collected by surgical resection from the Department of Otolaryngology-Head and Neck Surgery at the Shandong Provincial Hospital affiliated to Shandong University, China from Jan 2012 to Oct 2015. The microRNA and protein levels of genes were evaluated by RT-qPCR and western blot. The proliferative and invasive ability were calculated usingCCK8 and transwell assays. Kaplan-Meier method was used to assess the survival of laryngocarcinoma patients. Results: In laryngocarcinoma tissues and cells, lncRNA MALAT1 expression was significantly increased compared to normal tissues and cells. LncRNA MALAT1 promotes proliferation and migration of laryngocarcinoma cells. LncRNA MALAT1 upregulates HMGA1 expression by acting as a competitive endogenous RNA (ceRNA) for miR-125b. Rescue experiments showed that microRNA-125b inhibitor reversed the change in cell viability and invasion induced by sh-MALAT1. Down regulation of lncRNA MALAT1 inhibits laryngocarcinoma proliferation and invasion by modulating miR-125b /HMGA1. Conclusion: LncRNA MALAT1 promotes the development of laryngocarcinoma by regulating the expression level of HMGA1 by acting as a miR-125b ceRNA and may be considered as a new strategy for the development of laryngocarcinoma. https://ijph.tums.ac.ir/index.php/ijph/article/view/22646 https://ijph.tums.ac.ir/index.php/ijph/article/download/22646/7223

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 5 2021 04 30 1079 1081 Hamid Bagheri Department of Microbiology and Applied Microbiology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Azad Khaledi Infectious Diseases Research Center, Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Med-ical Sciences, Kashan, Iran Ghader Ghanizadeh Health School, Baqiyatallah University of Medical Sciences, Tehran, Iran Elham SHAKIBAZADEH Dept. of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2018 12 05 The Status of Health Promoting Lifestyle among Students of Tabriz, Northwestern Iran https://ijph.tums.ac.ir/index.php/ijph/article/view/15534 https://ijph.tums.ac.ir/index.php/ijph/article/download/15534/6246

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1874 1882 Shu FENG Dept. of Clinical Laboratory, Shandong Provincial Hospital, Jinan, Shandong, China Junfu WANG Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Xiaoqun XU Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Xuemei CHEN Dept. of Otolaryngology, The Second Hospital of Shandong University, Jinan, Shandong, China Junwen LUAN Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Qinghong SU Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Meng LUAN Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Huali WANG Dept. of Gynaecology, The Second Hospital of Shandong University, Jinan, Shandong, China Changsheng ZHAO Dept. of Nutriology, The Second Hospital of Shandong University, Jinan, Shandong, China 2018 12 05 Background: Hypopharyngeal carcinoma is one of the most common types of head and neck tumors. Suppressers of cytokine signalling (SOCS) family members are key regulators of cytokine homeostasis, they play important roles in the process of cell proliferation, differentiation, maturation and apoptosis, and participate in the occurrence and development of tumor. The abnormal activation of NF-κB is an important feature of the tumor. The aim of this study was to investigate the relationships among SOCS, NF-κB p65 and hypopharyngeal carcinoma development.C Methods: We included 72 hypopharyngeal cancer patients and 9 swallow cyst patients. The patients were recruited at The Second Hospital of Shandong University (Jinan, China) between 2014 and 2016. The mRNA and protein expression levels of SOCS-1, SOCS-3 and NF-κB p65 in hypopharyngeal carcinoma tissues, paracancerous tissues and control tissues were detected by RT-PCR and Western blot analysis, respectively. Results: Hypopharyngeal carcinoma tissues had lower level expression of SOCS-1 and SOCS-3 than pericarcinoma tissues, but there was no significant difference, while cancer tissues had significantly higher level expression of NF-κB p65 than that of pericarcinoma tissues (0.412±0.266, 0.281±0.231, t=2.969, P=0.004). The early stage patients had striking higher level expression of SOCS-1 and SOCS-3 than that in advanced stages (F=16.202, P<0.001; F=52.295, P<0.001), while the expression of NF-κB p65 in early stages had lower level than that in advanced stages (F=3.383, P=0.04). Conclusion: SOCS-1, SOCS-3 may be protective factors while NF-κB p65 could be a harmful factor in hypopharyngeal carcinoma.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15515 https://ijph.tums.ac.ir/index.php/ijph/article/download/15515/6229

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1973 1975 Akram GHANBARI MOGHADDAM Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran Masoomeh ANDISH Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran Hanieh HEMATI Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran Rahim AKRAMI Traditional and Complementary Medicine Research Center, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran Mojtaba MOHAMMADI Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran Fereshteh GHORAT Traditional and Complementary Medicine Research Center, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran 2018 12 05 Relation between Temperament and Body Mass Index in Teenage Girls https://ijph.tums.ac.ir/index.php/ijph/article/view/15535 https://ijph.tums.ac.ir/index.php/ijph/article/download/15535/6247

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1883 1890 Yuan WANG Tianjin Medical University General Hospital, Tianjin 300052, China Qingyu ZHANG Tianjin Medical University General Hospital, Tianjin 300052, China 2018 12 05 Background: We aimed to explore risk factors for patients with liver cirrhosis complicated with spontaneous bacterial peritonitis (SBP). Methods: The clinical data of 195 patients with liver cirrhosis complicated with SBP (study group), admitted from March 2014 to March 2018 in Tianjin Medical University General Hospital, Tianjin, China and 195 patients without liver cirrhosis complicated with SBP (control group) were retrospectively analyzed. Clinical manifestations of patients and laboratory findings were analyzed. Univariate and multivariate Logistic regression analysis were used for independent risk factors for the occurrence of SBP. Results: There were significant differences in patients between study group and control group in Child-Pugh classification, peripheral blood white blood cell (WBC), serum C-reactive protein (CRP), serum total bilirubin (TBil), ascites WBC, ascites albumin (ALB), and the ratio of complicated with upper gastrointestinal hemorrhage, hepatorenal syndrome, hepatic encephalopathy and hyponatremia (P<0.01); Logistic regression analysis found that Child-Pugh classification, serum CRP, ascites WBC, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome, hepatic encephalopathy and hyponatremia were related to the occurrence of SBP; and Child-Pugh classification, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome and hyponatremia were its independent risk factors. Conclusion: Child-Pugh classification, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome and hyponatremia are independent risk factors for the occurrence of liver cirrhosis complicated with SBP. Cautions should be raised for patients with liver cirrhosis for this. In the early stage, we should make effective antibiotic anti-bacterial infection program, actively prevent and control the occurrence of SBP, improving the survival rate of patients.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15516 https://ijph.tums.ac.ir/index.php/ijph/article/download/15516/6230

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1891 1898 Hamid Reza JOSHAGHANI Biochemistry & Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran Aref SALEHI Golestan Research Center for Ischemic Disorders, Golestan University of Medical Sciences, Gorgan, Iran Esmaeal SAMADIAN Dept. of Biotechnology, Faculty of Advanced Medical Technologies, Golestan University of Medical Sciences, Gorgan, Iran Roghayeh GHARAEI Laboratory Science Research Center, Golestan University of Medical Sciences, Gorgan, Iran Ali Reza AHMADI Laboratory Science Research Center, Golestan University of Medical Sciences, Gorgan, Iran 2018 12 05 Background: Endothelial nitric oxide synthase, encoded by NOS3, produces an atheroprotective metabolite. The G894T, T-786C and 4a/4b variants of this gene associated with increased risk for coronary artery diseases (CAD) have been evaluated in different populations worldwide, and inconsistent results have been obtained. We investigated the association between these three polymorphisms and presence of CAD in Iranian individuals. Methods: Overall, 234 people including angiography-positive patients from Amir-Almomenin Hospital (Heart Center), Kordkoy City, Golestan Province, northern Iran in 2016, angiography-negative subjects and healthy individuals from north of Iran were genotyped for the G894T and T−786C variations by PCR-RFLP, and 4a/4b VNTR only by PCR. Results: The genotype distribution and allelic frequencies for the three variants tested were not dramatically different between CAD and control subjects and also between CAD patients and people with pains and symptoms very similar to CAD but no stenosis (P>0.05). Moreover, the odds ratio for CAD related to the G894T (OR=1.09, 95% CI=(0.60-2.00), T-786C (OR=1.04, 95% CI=(0.57-1.89) and 4a/4b (OR=1.75, 95% CI=(0.92-3.32) variants did not show statistical significance. Similarly, the odds ratio for stenosis confirmed by angiography related to the 894T (OR=1.03, 95% CI= (0.61-1.74), -786C (OR=0.90, 95% CI=(0.54-1.50) and 4b (OR=1.64, 95% CI=(0.92 -2.93) alleles were not significant. Conclusion: G894T, T-786C and 4a/4b variants were not associated with risk for CAD and occurrence of angiography-assessed stenosis in Northern Iranian population (P>0.05). These alleles might be population-specific and not to be associated with their corresponding gene pool. However, further analysis is required to clarify other CAD-correlated markers in our community.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15517 https://ijph.tums.ac.ir/index.php/ijph/article/download/15517/6231

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1899 1905 Jafar Sadegh TABRIZI Tabriz Health Service Management Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran AND Dept. of Health Services Management, School of Health Service Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Mehrdad Amir BEHGHADAMI Dept. of Health Services Management, School of Health Service Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Student Research Committee (SRC), Tabriz University of Medical Sciences, Tabriz, Iran Mohammad SAADATI Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 2018 12 05 Background: Self-care ability was considered as a mechanism to improve the quality of life and reducing the high costs of medical services for elder people. Iran is experiencing increased elder people and healthy aging is one of the challenges. This study aimed to investigate self-care ability of elder people in Shahid Chamran and Dr. Shadpour health complexes, Tabriz- Iran. Methods: This was a cross-sectional study done in 2015."The Self-care Ability Scale for the Elderly (SASE)" valid and reliable questionnaire (Persian version) was used for data collection. Totally, 220 samples were selected using G-Power 3.1.5 software. Sampling was conducted through systematic random method. Data were analyzed using SPSS 21 software. Descriptive statistics and independent t-test, one-way ANOVA, Mann-Whitney, Kruskal-Wallis test and Kolmogorov-Smirnov test were used. Results: The mean of self-care ability in elder people was calculated as 56.69± 15.07 (out of 100). 96.8% of participating elderlies, had poor self-care ability. Significant relations were found between elder people self-care ability and their educational level, life status, employment status, and marital status (P<0.05). However, gender, income source, and insurance status had no relations with self-care ability of the elder people (P>0.05). Conclusion: Self-care ability of elder people in Tabriz was at weak level. Regarding, health providers must employ the programs to promote older people self-care ability including improving self-esteem, receiving family help, improved nutrition and mental health improving elderly's quality of life.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15518 https://ijph.tums.ac.ir/index.php/ijph/article/download/15518/6232

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1906 1912 Payam SHARIFAN Dept. of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Sakineh AMOUEIAN Dept. of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2018 12 05 Background: Hepatitis delta virus (HDV), as well as hepatitis B virus (HBV), are regarded as one of the main public health issues in developing countries. This retrospective study described histological and serological features of HDV coinfection patients with chronic active HBV in Northeastern Iran. Methods: The frequency of HDV seropositivity and its impact on serum liver enzyme levels and pathological features were investigated by reviewing clinical and laboratory data. This study contained chronic active HBV-infected patients having admitted the department during 2009 and 2014. Results: The rate of HDV coinfection in chronic active carriers was 21.84%, with a male predominance. HDV seropositive carriers showed significantly higher concentrations of liver enzyme than chronic active HBV monoinfection. Moreover, there was a strong association between degrees of inflammation with HDV-positive patients’ enzyme levels. Conclusion: The HDV seroprevalence in northeastern Iran was higher than that reported from elsewhere in Iran while comparable to some regions in Middle East, which, in turn, requires more comprehensive tools for diagnosing and screening the blood.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15519 https://ijph.tums.ac.ir/index.php/ijph/article/download/15519/6233

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1913 1922 Saman MAROUFIZADEH Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Payam AMINI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Mostafa HOSSEINI Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Amir ALMASI-HASHIANI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Maryam MOHAMMADI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Behnaz NAVID Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Reza OMANI-SAMANI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran 2018 12 05 Background: Over the last few decades, Cesarean section (CS) rates have increased significantly worldwide particularly in Iran. Classification methods including logistic regression (LR), random forest (RF) and artificial neural network (ANN) were used to identify factors related to CS among primipars. Methods: This cross-sectional study included 2120 primipars who gave singleton birth in Tehran, Iran between 6 and 21 July 2015. To identify factor associated with CS, the classification methods were compared in terms of sensitivity, specificity, and accuracy. Results: The CS rate was 72.1%. Mother’s age, SES, BMI, baby’s head circumference and infant weight were the most important determinant variables for CS as identified by the ANN method which had the highest accuracy (0.70). The association of RF predictions and observed values was 0.36 (kappa). Conclusion: The ANN method had the best performance that classified CS delivery compared to the RF and LR methods. The ANN method might be used as an appropriate method for such data.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15520 https://ijph.tums.ac.ir/index.php/ijph/article/download/15520/6234

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1923 1929 Jalil NEJATI Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran Amir KEYHANI Dept. of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran Amir TAVAKOLI KARESHK Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Hossein MAHMOUDVAND Dept. of Medical Parasitology and Mycology, Lorestan University of Medical Sciences, Khorramabad, Iran Abedin SAGHAFIPOUR Dept. of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran Maryam KHORAMINASAB Dep. of Education Office, Andimeshk County, Ahvaz, Iran Razieh TAVAKOLI OLIAEE Dept. of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran Seyed Mohammad MOUSAVI Dept. of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran 2018 12 05 Background: Pediculosis or louse infestation is a public health problem in many developing countries where the WHO`s primary health-care program is inefficient and haphazard. The present study aimed to determine the prevalence of Pediculus capitis infestation and its related risk factors in the primary school children in Andimeshk, Dezful and Shoosh counties; Khuzestan Province, Iran. Methods: Overall, 28410 students in the age range of 7-11 years old in primary schools of North of Khuzestan Province, southern Iran were examined individually and privately under the flash light for all life cycle stages of lice or their nits in 2016. A questionnaire was filled for each school child before hair examination; then examination was carried out to detect head lice as well as eggs/nits. Results: Overall, 2995 students (10.5%) were infested with pediculosis. There was a significant difference in the prevalence of pediculosis among the boys and girls students. The prevalence of infestation was also significantly (P<0.05) higher in students of living in nomad tribes (23.8%) in comparison of rural (12.4%) and urban areas (6.5%). Conclusion: Several risk factors significantly (P<0.05) related to pediculosis included gender of female, nomad habitat, parents education, father's occupation, having health staff, history of infestation and number of combing per day. Increasing awareness and training of teachers and relatives, as well as for improving standards of personal health, can significantly reduce the prevalence of pediculosis.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15521 https://ijph.tums.ac.ir/index.php/ijph/article/download/15521/6235

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1930 1936 Babak HASSANZADEH RAD Faculty of Veterinary Medicine, Karaj Branch,